Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $81.28 / $134.90	Facility		$19.95	$81.28	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $30.90	Professional		$18.20	$22.39	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $89.13	Facility		$40.74	$66.07	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $44.67	Professional		$16.60	$25.12	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $64.57	Professional		$25.12	$53.70	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $102.33	Facility		$25.12	$25.12	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $43.65	Professional		$25.12	$30.20	$43.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $56.23	Facility		$25.12	$25.12	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $83.18	Facility		$23.99	$36.31	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $79.43	Professional		$25.12	$30.90	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $74.13 / $102.33	Facility		$37.15	$74.13	$102.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $31.62	Professional		$18.62	$25.12	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Facility		$30.20	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $34.67	Professional		$10.47	$14.13	$34.67